Individual
TRAVIS ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
606 NW NAITO PKWY APT A7, PORTLAND, OR 97209-3718
(714) 235-3461
Mailing address
606 NW NAITO PKWY APT A7, PORTLAND, OR 97209-3718
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95173190
CA
Other
Enumeration date
07/25/2022
Last updated
07/25/2022
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